Education Agent Application Form

For the purpose of this application form, "the Agent" (hereinafter referred to as the Agent) means the education agent engaged by the Provider to recruit and/or assist overseas students.

ABOUT THIS FORM: Complete this form to apply to become an authorised education agent for Glen Institute. All sections must be completed. Supporting documents listed in each section must be attached. Incomplete applications will not be assessed. Glen Institute reserves the right to decline any application without providing reasons. Submission of this form does not guarantee appointment. If appointed, a formal Education Agent Agreement must be signed before any recruitment activity commences.

Business / Legal Name

Trading Name (If Different)

Business Registration Number / ABN

Country of Incorporation / Registration

Date of Establishment

Date

Principal Business Address

Postal Address (if different)

Business Website

Primary Phone

Primary Email

example@example.com

Number of Staff Involved in International Student Recruitment

1.1 Supporting Documents Required - Section 1

Please Upload the Supporting Documents Below:

Full Name

Position / Title

Direct Phone

Direct Email

Primary Language(s) Used for Student Counselling

REQUIREMENT: Under Standard 4 of the National Code of Practice for Providers of Education and Training to Overseas Students 2018, as amended from time to time, Glen Institute is required to ensure that education agents and their staff are appropriately qualified, experienced, and trained to provide accurate and ethical advice to prospective students.

Applicants are required to provide evidence of relevant training, knowledge, or professional development in international education and student counselling. This may include completion of the Education Agent Training Course (EATC) or other equivalent training, where available.

SECTION 3 — EDUCATION AGENT TRAINING CERTIFICATION (EATC)

Rows	Staff Member Name	Certification Type	Certificate Number	Expiry / Completion Date
1
2
3
4

3.1 Supporting Documents Required - Section 3

Equivalent training details (if applicable):

Please Provide Supporting Documents Below

Countries / Territories where you will recruit students for Glen Institute:

Languages in which you will counsel students:

Student source markets (e.g. Vietnam, India, China, Nepal):

Types of courses you will focus on promoting (e.g. VET, ELICOS):

Estimated number of genuine student commencements you expect to refer in the first 12 months:

Do you use social media or online platforms to promote education institutions?

Do you currently represent any other CRICOS-registered providers in Australia?

Yes - list below (standard commission arrangements only - do not include ownership/equity relationships which must be declared in Section 7):

Rows	Provider Name	Nature of Arrangement (e.g. commission agreement)
1
2
3

IMPORTANT: Agents must not provide migration or visa advice unless they are Registered Migration Agents (RMAS) under the Migration Act 1958; advising students on visa applications, visa conditions, or visa consequences is considered migration advice and requires RMA registration, and agents must refer any students seeking migration advice to a qualified RMA.

Does your business include any registered migration agents who provide immigration advice to students?

Rows	RMA Full Name	MARN	Scope of Migration Services Provided
1
2

REQUIREMENT: Two professional referees are required. At least one referee must be from a CRICOS-registered provider that has directly engaged the applicant agent to recruit international students. Referees will be contacted directly by Glen Institute using Form EA-002 for the purpose of assessing the agent's suitability.

SECTION 6 — PROFESSIONAL REFEREES

Rows	Referee 1	Referee 2
Full Name
Organisation
Position / Title
Phone
Email

NOTE: This section provides a summary only. A full Conflict of Interest Declaration (Annexure B of the Education Agent Agreement) must be completed and signed separately. For the purposes of this declaration, "financial interest" means ownership, control, equity stake, or profit-sharing in another organisation; it does not include standard commission agreements with other education providers.

(a) Does the applicant (or any director, officer, or related party) hold an ownership, controlling interest, equity stake, or profit-sharing arrangement in any CRICOS-registered provider or RTO in Australia?

Provide Details:

(b) Is there any close personal relationship between any staff member of the applicant and a Glen Institute employee?

Provide Details:

(c) Does the applicant charge students any service fees in connection with enrolment services?

Describe:

1. Business registration certificate or incorporation documents

2. Evidence of relevant training for all staff who will counsel students (e.g., EATC or equivalent)

3. Business registration certificate or incorporation documents

4. Professional referee details — Referee 2 (Section 6)

5. Copy of any existing agent agreements with Australian providers (if applicable)

6. Registered Migration Agent certificate(s) — (if applicable) (Section 5)

READ CAREFULLY BEFORE SIGNING:

By signing this declaration, the authorised representative of the applicant confirms and agrees to all items listed below.

1. The information provided in this application is true and correct to the best of my knowledge and belief.

2. I acknowledge that Glen Institute is required under Standard 4.1 of the National Code 2018 to assess agent suitability before appointment.

3. I understand that submission of this form does not guarantee appointment.

4. I acknowledge that, if appointed, a formal written Education Agent Agreement must be signed before any recruitment activity commences and that any recruitment activity without a current signed Agreement is a breach of the ESOS Act 2000.

5. I confirm that no staff member of the applicant will provide immigration or visa advice to students unless that staff member is a Registered Migration Agent (RMA) under the Migration Act 1958, as amended.

6. I acknowledge Glen Institute's obligations regarding the onshore transfer student commission ban effective 31 March 2026 and agree to comply with Standard 4.7 of the National Code 2018.

7. I understand that if appointed, Glen Institute will monitor the agent's recruitment activities and may take corrective action — including immediate termination — if non-compliance is identified.

8. I consent to Glen Institute contacting the nominated referees and verifying the information provided in this application.

9. I consent to Glen Institute entering and maintaining the agent's details in PRISMS and publishing the agent's name on Glen Institute's public website if appointed.

10. I acknowledge that Glen Institute may share information about this agent appointment with ASQA and other regulatory bodies as required by law.

Business / Legal Name:

Authorised Officer Name:

Title / Position:

Signature:

Date:

Date

WHAT HAPPENS NEXT: Glen Institute will review your application and contact you within 10 business days. If additional information is required, you will be contacted. Reference checks will be conducted directly with your nominated referees. If your application is approved, Glen Institute will prepare a formal Education Agent Agreement for execution.

▲ IMPORTANT REMINDER: The applicant must not commence any recruitment, marketing, counselling, or enrolment activities on behalf of Glen Institute until a formal written Education Agent Agreement has been signed by both parties and a Certificate of Representation has been issued by Glen Institute. Any recruitment activity undertaken without a current signed Agreement constitutes a breach of the ESOS Act 2000 (as amended) and may result in regulatory action.

Application Received By:

Date Received:

Application Outcome

Reviewed By:

Education Agent Application Form

Section 1 - Business/Organization Details

Section 2 - Primary Contact Person

SECTION 3 - EDUCATION AGENT TRAINING CERTIFICATION (EATC)

SECTION 4 - PROPOSED RECRUITMENT ACTIVITIES AND TERRITORY

SECTION 5 - MIGRATION AGENT STATUS

SECTION 6 PROFESSIONAL REFEREES

SECTION 7 CONFLICT OF INTEREST DECLARATION (SUMMARY)

SECTION 8— SUPPORTING DOCUMENTS CHECKLIST

SECTION 9 - APPLICANT DECLARATION AND SIGNATURE

GLEN INSTITUTE - For Internal Use Only